Impact of pregnancy on sexuality : a cross-sectional study of 100 tunisian women

##plugins.themes.academic_pro.article.main##

Talel Badri
Amira Maamri
Yousri EL Kissi

Abstract

Background: Pregnancy is a period during which anatomical, physiological and psychological changes may affect couple sexuality.

Aim: To determine the knowledge and practices in sexuality, and identify the particularities of the sexual function during pregnancy.

Methods: A cross-sectional, descriptive and analytical study of pregnant women who responded to a questionnaire sent by Internet through a social network.

Results: Ninety-one percent of the 100 enrolled women were aged 25 to 34 years; 97% had a university education, and 66% were in the third quarter. Ninety-four percent of women thought that sexual intercourse is possible during pregnancy. The main reason to continue having sex during pregnancy was to have pleasure for either partner (87%). The reasons not to have sex were mainly fatigue (63%) and discomfort (51%). The main sources of information were the Internet (82%) and physicians (70%). During pregnancy, 92% of women continued to have sex with, however, a reduced frequency compared to the period before pregnancy. Fifty-five percent of women had a decreased desire level, and sexual satisfaction was also decreased in 43% of women. Sexual desire and lubrication were present half the time or more in the second quarter in, respectively, 69% and 55% of pregnant women. The difference with pregnant women in the first and third quarters was statistically significant.

Conclusion: Our study focused on women who had most often access to scientific information about pregnancy and sexuality. The pleasure was the main reason to continue having sexual activity. The second quarter was the most sexually "rich" period.

Keywords:

Pregnancy, sexuality, sexual disorders.

##plugins.themes.academic_pro.article.details##

References

  1. Lopès P. Sexualité et grossesse, sexualité et post partum. Manuel de sexologie ; Elsevier Masson, 2ème édition 2013.
  2. Adinma JI. Sexuality in Nigerian pregnant women: perceptions and practice. Aust N Z J Obstet Gynaecol 1995;35:290-3.
  3. Kaouakou KP, Doumbia Y, Djanhan LE, Ménin M.M, Kouaho J.C, Djanhan Y. Réalité de l'impact de la grossesse sur la sexualité. Résultats d'une enquête auprès de 200 gestantes ivoiriennes. J Gynecol Obstet Biol Reprod (Paris) 2011;40:36-41.
  4. Dao B, Some DA, Ouattara S, Sioho N, Bambara M. Sexualité au cours de la grossesse : une enquête auprès de femmes enceintes en milieu urbain africain. Sexologies 2007;16:138-43.
  5. Babazadeh R, Najmabadi KM, Masomi Z. Changes in sexual desire and activity during pregnancy among women in Shahroud, Iran. Int J Gynaecol Obstet 2013; 120: 82-4.
  6. Aribi L, Ben Houidi A, Masmoudi R, Chaabane K, Guermazi M, Amami O. Sexualité féminine au cours de la grossesse et en post-partum: A propos de 80 femmes tunisiennes. Tunis Med 2012;90:873-7.
  7. Orji EO, Ogunlola O, Fasubaa OB. Sexuality among pregnant women in South West Nigeria. J Obstet Gynecol 1995;35:290-3.
  8. Trutnovsky G, Haas J, Lang U, Petru E. Women's perception of sexuality during pregnancy and after birth. Aust N Z J Obstet Gynaecol 2006;46:282-7.
  9. Kerdarunsuksri A, Manusirivithaya S. Attitudes and sexual function in Thai pregnant women. J Med Assoc Thai 2010;93:265-71.
  10. Khamis MA, Mustafa MF, Mohamed SN, Toson MM. Influence of gestational period on sexual behavior. J Egypt Public Health Assoc 2007;82:65-90.
  11. Naim M, Bhutto E. Sexuality during pregnancy in Pakistani women. J Pak Med Assoc 2000;50:38-44.
  12. Fok WY, Chan LY, Yuen PM. Sexual behavior and activity in Chinese pregnant women. Acta Obstet Gynecol Scand 2005;84:934-8.
  13. Wirthner D. Grossesse et sexualité. Rev Med Suisse Romande 1993;113:797-9.
  14. Reichenbach S, Alla F, Lorson J. Le comportement sexuel masculin pendant la grossesse. Une étude pilote portant sur 72 hommes. Sexologies 2001;XI:1-8
  15. Fok WY, Chan LY, Yuen PM. Sexual behaviour and activity in Chinese pregnant women. Acta Obstet Gynecol Scand 2005;84:934-8.
  16. Bailey V. Sexuality--before and after birth. Midwives Chron 1989;102:24-6.
  17. Pasini W. Vie sexuelle pendant la grossesse. Sexualité et Gynécologie Psychosomatique. Masson 1974, 79-130.
  18. Barclay LM, McDonald P, O'Loughlin JA. Sexuality and pregnancy. An interview study. Aust N Z J Obstet Gynaecol 1994;34:1-7.
  19. Bogren L. Changes in sexuality in women and men during pregnancy. Arch Sex Behav 1991;20:35-45.
  20. Adeyemi AB, Fatusi AO, Makinde ON, Omojuwa I, Asa S, Onwudiegwu U. Changes in sexual practices and responses among ante-natal clinic attendees in a Nigerian teaching hospital. J Obstet Gynaecol 2005;25:796-802.
  21. Medico D. Sexualité, grossesse et post partum. Mémoire pour le certificat de formation continue en sexologie clinique. Université de Genève, Suisse 2006.
  22. Masters W, Johnson VE. Grossesse et réponse sexuelle. In : Les réactions sexuelles. Ed.R. Laffont, Paris 1968:161-89.
  23. Aslan G, Aslan D, Kizilyar A, Ispahi C, Esen A. A prospective analysis of sexual functions during pregnancy. Int J Impot Res 2005;17:154-7.
  24. Borgi N, Maazoun L, Mseddi M, Turki H, Zahaf A. La sexualité de la femme en post partum : une étude descriptive chez 60 femmes. Ann Dermatol Venereol 2003;130:S53